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Showing results for "improvements".

  1. Increase in US medication-error deaths between 1983 and 1993. | PSNet

    psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
    March 14, 2022 - Study Classic Increase in US medication-error deaths between 1983 and 1993. Citation Text: Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. Copy Citation Format: Go…

  2. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
    June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

  3. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
    November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…

  4. Maths anxiety and medication dosage calculation errors: a scoping review. | PSNet

    psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
    September 01, 2016 - Review Maths anxiety and medication dosage calculation errors: a scoping review. Citation Text: Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. Copy Citation Format: …

  5. Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet

    psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
    January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…

  6. Quality-monitoring program for bar-code–assisted medication administration.   | PSNet

    psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
    November 16, 2022 - Study Quality-monitoring program for bar-code–assisted medication administration.   Citation Text: Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. Copy…

  7. Morbidity and mortality: delays in my patient’s cancer care. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
    July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

  8. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
    March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

  9. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
    September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

  10. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

    psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
    January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

  11. Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. | PSNet

    psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
    October 08, 2014 - Study Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. Citation Text: Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtaine…

  12. Possible solutions for barriers in incident reporting by residents. | PSNet

    psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
    April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …

  13. Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.   | PSNet

    psnet.ahrq.gov/issue/effectiveness-graduate-medical-education-program-improving-medical-event-reporting-attitude
    August 04, 2021 - Study Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.   Citation Text: Coyle YM, Mercer SQ, Murphy-Cullen CL, et al. Effectiveness of a graduate medical education program for improving medical event reporting attitude a…

  14. Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet

    psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
    December 07, 2011 - Study Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. Citation Text: Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…

  15. Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
    August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

  16. An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. | PSNet

    psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
    March 02, 2016 - Study An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. Citation Text: Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…

  17. New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. | PSNet

    psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
    November 02, 2014 - Commentary New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. Citation Text: Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. Copy Citation Format: DOI Google Schola…

  18. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). | PSNet

    psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
    March 11, 2015 - Study Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Citation Text: Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…

  19. A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
    May 01, 2014 - Study A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. Citation Text: Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results from a needs assessment of…

  20. Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. | PSNet

    psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
    March 19, 2019 - Study Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Citation Text: Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…
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